2023-09-28 14:46:10 +00:00
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abstract: 'Background: The purpose of this study was to investigate whether there
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is an association between stage of incident breast cancer (BC) and
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personal income three years after diagnosis. The analysis further
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considered whether the association differed among educational groups.
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Methods: The study was based on information from Danish nationwide
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registers. A total of 7,372 women aged 30-60 years diagnosed with BC,
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48\% with metastasis, were compared to 213,276 controls. Generalised
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linear models were used to estimate the effect of a cancer diagnosis on
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personal gross income three years after diagnosis, stratified by
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education and stage of cancer. The models were adjusted for income two
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years prior to cancer diagnosis and demographic, geographic and
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co-morbidity covariates.
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Results: Adjusting for income two years prior to cancer diagnosis and
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other baseline covariates (see above), cancer had a minor effect on
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personal income three years after diagnosis. The effect of metastatic BC
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was a statistically significant reduction in income three years after
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diagnosis of -3.4\% (95\% CI -4.8;-2.0), -2.8\% (95\% CI -4.3;-1.3) and
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-4.1 (95\% CI -5.9;-2.3) among further, vocational and low educated
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women, respectively. The corresponding estimates for the effect of
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localised BC were -2.5\% (95\% CI -3.8; -1.2), -1.6\% (95\% CI -3.0;
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-0.2) and -1.7\% (95\% CI -3.7; 0.3); the latter estimate (for the
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low-educated) was not statistically different from zero. We found no
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statistically significant educational gradient in the effect of cancer
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stage on income.
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Conclusions: In a Danish context, the very small negative effect of BC
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on personal income may be explained by different types of compensation
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in low- and high-income groups. The public income transfers are equal
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for all income groups and cover a relatively high compensation among
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low- income groups. However, high-income groups additionally receive
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pay-outs from private pension and insurance schemes, which typically
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provide higher coverage for high-income workers.'
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affiliation: 'Andersen, I (Corresponding Author), Univ Copenhagen, Inst Publ Hlth,
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Sect Social Med, Oster Farimagsgade 5,POB 2099, DK-1014 Copenhagen K, Denmark.
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Andersen, Ingelise; Thielen, Karsten; Diderichsen, Finn, Univ Copenhagen, Inst Publ
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Hlth, Sect Social Med, DK-1014 Copenhagen K, Denmark.
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Kolodziejczyk, Christophe, Danish Inst Local \& Reg Govt Res, KORA, DK-1150 Copenhagen
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K, Denmark.
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Heinesen, Eskil, Rockwool Fdn, Res Unit, DK-1307 Copenhagen K, Denmark.'
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article-number: '50'
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author: Andersen, Ingelise and Kolodziejczyk, Christophe and Thielen, Karsten and
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Heinesen, Eskil and Diderichsen, Finn
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author-email: inan@sund.ku.dk
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author_list:
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- family: Andersen
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given: Ingelise
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- family: Kolodziejczyk
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given: Christophe
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- family: Thielen
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given: Karsten
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- family: Heinesen
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given: Eskil
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- family: Diderichsen
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given: Finn
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da: '2023-09-28'
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doi: 10.1186/s12889-015-1387-0
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files: []
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issn: 1471-2458
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journal: BMC PUBLIC HEALTH
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keywords: Breast cancer; Income; Longitudinal; Inequality
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keywords-plus: 'MACROLEVEL CONTEXTS; EMPLOYMENT CHANCES; CHRONICALLY ILL; SURVIVORS;
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POLICIES; IMPACT; OUTCOMES; WORK'
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language: English
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month: JAN 31
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number-of-cited-references: '15'
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orcid-numbers: 'Diderichsen, Finn/0000-0002-9998-4972
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Thielen, Karsten/0000-0003-0505-5986
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Andersen, Ingelise/0000-0002-0076-265X
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Heinesen, Eskil/0000-0001-8953-1403'
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papis_id: 14137013e99c3cfdba39d34f4d239633
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ref: Andersen2015effectbreast
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researcherid-numbers: 'Diderichsen, Finn/P-4654-2019
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'
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times-cited: '16'
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title: 'The effect of breast cancer on personal income three years after diagnosis
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by cancer stage and education: a register-based cohort study among Danish females'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000349418800015
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usage-count-last-180-days: '0'
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usage-count-since-2013: '6'
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volume: '15'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2015'
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